Facelifts
Procedure Guide – Facelift
All procedures at our clinic are performed by a highly qualified team of plastic surgeons and anesthesiologists in a modern medical facility. Each client undergoes a thorough preoperative examination before the surgery, which helps to minimize any risks.
During the procedure, the patient is continuously monitored, and the entire team is prepared to respond quickly and effectively to any unexpected situations. In the event of complications, we have established precise procedures and ensured continuity of specialized care.
After the surgery, we pay maximum attention to postoperative check-ups, which enable us to identify and address any problems in a timely manner. With an experienced surgical team, complications are rare, but the team is well-prepared to handle them if they do occur, ensuring patient safety and positive outcomes.
Getting started
Consultation
An initial consultation is a very important part of the surgery. The client tells the surgeon the reasons why they decided to undergo the procedure, and the surgeon explains what the client can expect from the surgery, what results are realistic, and advises them on the most suitable procedure for them. During the consultation, the doctor answers all the client’s questions.
Preoperative
examination
What should I expect before surgery?
The scope of the preoperative examination depends on the chosen method of anesthesia.
Before surgery under local anesthesia or analgosedation
Blood count
Basic coagulation tests (QUICK, INR)
Ions
Glycemia
ECG (for clients under analgosedation, this will be performed at the clinic on the day of surgery)
Before surgery under general anesthesia
Blood count
Basic coagulation tests (QUICK, INR)
Biochemistry – serum ionogram, glycemia, bilirubin, transaminases, urea, creatinine
Urine chemistry and sediment
ECG
X-ray of the heart and lungs in clients over 60 years of age
General instructions
Do not take blood-thinning medication (such as ACYLPYRIN, ANOPYRIN, WOBENZYM, and others) for 3 weeks before the surgery.
Consult your surgeon and anesthesiologist about all medications you regularly take.
It is important to take care of your health before the procedure, because even a cold can affect the course of the procedure and healing. You should avoid acute illnesses for 2 weeks before the surgery.
It is not necessary to discontinue contraceptives before the surgery.
For surgeries under general anesthesia, stop eating and drinking at least 6 hours before the operation.
The procedure
Just before the procedure
Before the procedure, the surgeon will once again discuss the course of the operation with the client. Subsequently, the client will receive premedication with a calming effect.
The procedure
All types of facelifts are usually performed on an outpatient basis, most often under local anesthesia or a combination of local anesthesia and analgosedation
If the procedure is performed under local anesthesia, the doctor will inject a local anesthetic in the operating room – this may be slightly uncomfortable, but the patient will feel almost nothing during the subsequent procedure.
The advantage of local anesthesia is that the patient can cooperate with the surgeon during the procedure, for example, by slightly moving their head. Another benefit of local anesthesia is that it puts less strain on the body compared to general anesthesia, where the patient is put into a deep sleep and wakes up after the procedure.
If the procedure is performed under general anesthesia, the client is put to sleep and wakes up in their room.
After the procedure
The client spends the first night at the clinic. The next day, a check-up is performed, and clients from Brno and the surrounding area can then travel home – however, it is necessary to have their transport arranged. Clients from further away and from abroad usually stay at a hotel near the clinic for another 1-3 days, according to the doctor’s instructions. The next check-up follows after approximately 5-6 days, when the bandages, plasters, and surgical drains are removed.
The stitches used are absorbable, but their remains are usually removed during a check-up approximately two weeks after the operation. Clients traveling by air can only depart after this check-up.
Risks
Seroma is an accumulation of fluid from the tissue in the wound. If it occurs, it is often absorbed spontaneously by the body within a few weeks. If not, a puncture is necessary.
Where tissue has been dissected, bleeding from small capillaries may occur, creating an expanding blood clot (hematoma). If treated quickly, these have no effect on the result. They only cause longer-lasting swelling or bruising.
To prevent infection, the client takes antibiotics and applies antibiotic ointment to the scars. Actual infection is therefore very rare.
The skin on the cheeks and around the ears is numb for several weeks to months because the fine sensory nerves have been severed. However, sensitivity will return.
Sutures are foreign bodies and the body may reject them before they dissolve. They can cause small spots that require treatment to be removed.
Temporary weakness of the muscles that move the lips, mouth, or forehead may occur, usually due to stretching, swelling, and tissue dissection.
Patients with impaired blood flow (smokers, revision cases) may experience slow healing or, in the worst case, necrosis.
All incisions create wounds that heal into very fine, barely visible scars in almost all patients. Some patients are predisposed to worse scars, which may be raised (hypertrophic), wider (keloid), or white (hypopigmented). However, keloid scars on the face are a completely abnormal phenomenon. A disruption of the physiological wound healing processes may occur, but this happens only in exceptional cases.
